We have designed the structure of clinical experiences during Internal Medicine residency training at UA College of Medicine – Phoenix to optimize learning, minimize fatigue, and reduce conflict between inpatient and ambulatory experiences. Residents are given progressive responsibility and autonomy through the sequencing of the rotations and through the demonstration of their competence.
During all three categorical years, non-call rotations (Emergency Medicine, Neurology, Cardiology, Geriatrics, Consultative Medicine, ambulatory medicine, and electives) alternate with call months (night float, inpatient wards, and ICU).
In their PGY-3 year, residents have a 3-month stretch of electives (non-call rotations).
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The schedule of each of the inpatient/call rotations during Internal Medicine residency training at the UA College of Medicine - Phoenix has been designed to minimize fatigue, optimize learning, and ensure appropriate supervision with progressive autonomy.
The inpatient clinical learning environment includes:
Traditional ward structure at both BUMCP & the Phoenix VA (as described in the video below)
Hospital Medicine rotation
Internal Medicine / Hepatology Co-management service
ICU rotations at both BUMCP & the Phoenix VA (as described in the video below)
Inpatient schedule details (wards, ICU, and night float) can be found in the below detailed table (most up to date), as well as in the below video (note, some descriptions in the video may be out of date, as we have modified the ICU rotations since 2021):
Whether in morning report or at the bedside, residents are strongly encouraged to teach while they learn. With help from faculty and chief residents, our residents gain skills and confidence in teaching patients at the bedside, peers and colleagues in both small and large groups, and interprofessionally through rounding.
You can learn more about our Resident as Educator preparation in the separate section dedicated to this topic (in the following page).
Continuity clinic is generally only done during non-call months for all levels of categorical IM residents. During these non-call months, residents attend continuity clinic two half days per week (usually on the same day, meaning one full day of clinic per week). Practice partners are responsible for each others' patients while the other is on a rotation without clinic.
Hear more about your experience in continuity clinic & with ambulatory education in the video description below: